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General NPI Number Information
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NPI Number | 1649211871
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Entity Type | Individual
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Provider Name | SEAN PATRICK SEIVERT DC
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 1426 N MAIN ST STE 106
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City | TAYLOR
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State | TX
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Zip | 76574-3031
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Country | US
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Telephone | 512-352-1300
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Fax | 512-352-1301
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Provider Business Mailing Address
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Address Line | PO BOX 408
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City | TAYLOR
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State | TX
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Zip | 76574-0408
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Country | US
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Telephone | 512-352-1300
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Fax | 512-352-1301
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3359
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10890
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License Number State | TX
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